Thalita Maria Mcdonough, is a
Physician Assistant physician based in Charlotte, North Carolina. Thalita Maria Mcdonough is licensed to practice in North Carolina (license number 0010-11079) and her current practice location is 332 Lillington Ave, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 377-1216.
NPI number for Thalita Maria Mcdonough is 1730781469 and her current mailing address is 332 Lillington Ave, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730781469.
Physician's Profile
| Full Name | Thalita Maria Mcdonough |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 332 Lillington Ave, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730781469
- Provider Enumeration Date: 11/09/2020
- Last Update Date: 05/19/2021
Medical Identifiers
Medical identifiers for Thalita Maria Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730781469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RR0500X | Internal Medicine - Rheumatology | 001011079 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0010-11079 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thalita Maria Mcdonough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thalita Maria Mcdonough,
332 Lillington Ave,
Charlotte, NC 28204-3130
Ph: (704) 377-1216 | Thalita Maria Mcdonough,
332 Lillington Ave,
Charlotte, NC 28204-3130
Ph: (704) 377-1216 |
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